Mesh migration into an inguinal hernia sac following a laparoscopic umbilical hernia repair
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According to the National Survey of Ambulatory Surgery (NSAS), 1.2 million abdominal wall hernias were repaired in 2003 [1, 2]. The NSAS showed that 66.4 and 15.1% were inguinal and umbilical hernia (UH) repairs, respectively . Thus, UHs are the second most common abdominal wall hernias and together with groin and incisional hernia repairs constitute the most frequent operations performed by general surgeons [3, 4].
UHs in the obese population have been gaining attention as the incidence of obesity increases . In obese patients, there is an increase in opening pressure of 0.07 mmHg proportionally to every 1.0 kg/mm2 in BMI posing an increased strain on the umbilicus leading to a higher incidence of UH . Thus, the higher the BMI, the more likely an UH might develop. Obese patients with a BMI of 30–39 kg/m2 have a 2.6 odds ratio of developing an UH, which increases to 5.2 for patients with a BMI greater than 60 kg/m2 . While there is compelling evidence...
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The authors declare no conflict of interest.
All procedures performed in the studies involving human participates were in accordance with the ethical standards of the institution and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.
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Informed consent was obtained from this patient for the publication of this case.
- 16.Falk GA, Means JR, Pryor AD (2009) A case of ventral hernia mesh migration with splenosis mimicking a gastric mass. BMJ Case Rep 2009. https://doi.org/10.1136/bcr.06.2009.2033